Basic Information
| Provider Information | |||||||||
| NPI: | 1427532472 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HASSAN BENCHEQROUN M.D., PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 51753 EL DORADO DR | ||||||||
| Address2: | |||||||||
| City: | LA QUINTA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922539034 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7606192309 | ||||||||
| FaxNumber: | 8664280708 | ||||||||
| Practice Location | |||||||||
| Address1: | 555 E TACHEVAH DR STE 1W104 | ||||||||
| Address2: | |||||||||
| City: | PALM SPRINGS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 922625772 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7606181353 | ||||||||
| FaxNumber: | 7602592001 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/16/2018 | ||||||||
| LastUpdateDate: | 02/08/2020 | ||||||||
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| AuthorizedOfficialLastName: | STEINER | ||||||||
| AuthorizedOfficialFirstName: | PEGGY | ||||||||
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| AuthorizedOfficialTitleorPosition: | BUSINESS MGR | ||||||||
| AuthorizedOfficialTelephone: | 7606192309 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 02/08/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
No ID Information.